Keith Brady, M.d., P.a | |
1201 5th Ave N Suite 412 St Petersburg FL 33705-1400 | |
(727) 820-7992 | |
(727) 820-7901 |
Full Name | Keith Brady, M.d., P.a |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 1201 5th Ave N, St Petersburg, Florida |
Authorized Official Name and Position | Keith Brady (MEDICAL DOCTOR) |
Authorized Official Contact | 7278207992 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Keith Brady, M.d., P.a 1201 5th Ave N Suite 412 St Petersburg FL 33705-1400 Ph: (727) 820-7992 | Keith Brady, M.d., P.a 1201 5th Ave N Suite 412 St Petersburg FL 33705-1400 Ph: (727) 820-7992 |
NPI Number | 1861754590 |
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Provider Enumeration Date | 06/08/2012 |
Last Update Date | 07/26/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861754590 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | ME37799 (Florida) | Primary |
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